Individual provider · Type 1 NPI

Philip K. Nelson, RPA-C

Surgical Physician Assistant · Waterbury, CT

NPI number 1790055168 Active

Practice location

500 Chase Pkwy
Waterbury, CT 06708-3346

Call (203) 755-6677 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2700 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1790055168

Philip K. Nelson, RPA-C's National Provider Identifier is 1790055168, issued on Jan 3, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waterbury, CT. The record was last updated on Nov 1, 2016.